Dora Chan, PHARMD, NUTRITIONIST

NPI #1326621533 in Lucerne, California

Provider Information

NPI Number: 1326621533
Entity Type: Individual
Name: Dora Chan, PHARMD, NUTRITIONIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nutritionist
Credential: PHARMD, NUTRITIONIST
Enumeration Date: May 4, 2021
Last Updated: May 4, 2021

Practice Location

Address: 8781 PARADISE VALLEY BLVD
City: Lucerne
State: California
ZIP Code: 95458-8549
Phone: (408) 802-2068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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